Provider Demographics
NPI:1629019963
Name:OLENDER, GAIL PATRICIA (CRNA)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:PATRICIA
Last Name:OLENDER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 LORRAINE CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5419
Mailing Address - Country:US
Mailing Address - Phone:775-825-4626
Mailing Address - Fax:
Practice Address - Street 1:329 LORRAINE CT
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-5419
Practice Address - Country:US
Practice Address - Phone:775-825-4626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704165975367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered